AFFIDAVIT
I ——— W/o/D/o/S/o, ———- solemnly affirm as under:-
I am a Partner in M/s ——————————- having its office at ———————–.
I have a Gas Connection vide consumer No ——– from M/s ————. (Address)
I have lost original Security Deposit Receipt/Booking Papers and now want to apply for an additional cylinder to convert my existing single connection into Double Cylinder connection.
I undertake to indemnify M/s ————– for issuing me a Duplicate Deposit Receipt/Booking papers.
Verification. I Smt ——— do hereby declare that what is stated above is true to the best of my knowledge & belief.
NAME
(PAN)
Date ________New Delhi
Witness
